Medicaid provides low-cost or free coverage for low-income children, young adults under age 21, parents, pregnant women, caretaker relatives, people who are blind or disabled and those age 65 or older.

Who can enroll?
Eligibility is based on your income and resources (e.g., cash, bank accounts, etc.). In some cases, Vermonters enrolled in Medicare may also be eligible for Medicaid.

What services are covered?
Medicaid covers most health care services such as doctor visits, hospital care, prescription medicines, vision and dental care, long-term care, physical therapy and more.

How much does it cost?
Medicaid fees may include co-payments for outpatient visits, prescription medicines and dentist visits. , Those under age 21, pregnant women or women in the 60 day post-pregnancy period and people in nursing facilities never have to pay co-payments.

See the Income and Premium chart below to determine what your premium cost may be.  Your eligibility for a particular plan and your share of the cost will be determined based on the application you submit.

Income & Premium for Medicaid

• You may still qualify if your monthly income is higher if you have earned income and/or child care expenses.
• Eligibility is based on household income, resources (e.g., cash, bank accounts, etc) and family size. 
• A household is defined as the number of related people living in the same house.
• For further information on the guidelines and exceptions, please contact Health Access Member Services for Green Mountain Care at 1-800-250-8427 on business days between 7:45 a.m. and 4:30 p.m. 
• This chart is updated each January.